Tag: nhs

So Carillion has gone into liquidation, plunging the lives of the 20,000 people working for them in the UK and those reliant on the public services they are paid by the coffers supplied by taxpayers to provide, into uncertainty.

Carillion is one of largest providers of NHS facilities management, covering:

–200 operating theatres;

-300 critical-care beds and

-11,500 in-patient beds.

It also has contracts to maintain:

-50,000 armed forces’ houses;

– £680m contract to provide 130 new buildings in Aldershot and Salisbury plain for troops returning from Germany;

– It provides cleaning and school meals for 875 schools and

– Maintains 50% of prisons.

When governments began outsourcing the work for public services we were told it was a means of transferring the risks arising from major projects to the private sector.

Of course this has proven to be categorically untrue.

Outsourcing and privatisation doesn’t transfer risk to a company. Instead, it transfers any profits or savings made (coming from general taxation) to shareholders and leaves taxpayers exposed and vulnerable towards all the risks and failures; because if they fail the government bails them out.

Privatisation simply means no accountability for public money

For over a year now, Carillion has been in meltdown. Its shares have dropped 90% and it issued profit warnings, and went through three chief executive within six months Yet they continued to be awarded government contracts including the £1.4 billion HS2 contact.

Could the reason Carillion have continued to be given government contracts have anything to do with their Chairman, Phillip Green being a Tory Party donor?

Of course, while Carillion workers are likely to face a difficult time with regards to their future, no such worries exist for those who headed up the company.

Carillion’s pay policy wording was changed to make it harder for investors to claw back bonuses in the event of ‘corporate failure.’

Chief operating officer Richard Howson has made £1.9m in cash and share bonuses during his tenure while ex-finance chief Richard Adam has received £2.6m.

Shadow Business Secretary Rebecca Long-Bailey has already said contracts run by Carillion should be bought back ‘in-house.’

Rehana Azam, the National Secretary of the GMB Union, said: “The fact such a massive government contractor like Carillion has been allowed to go into administration shows the complete failure of a system that has put our public services in the grip of shady profit-making contractors.’

So what will happen next? Is this the beginning of the end of the privatisation of public services?

We are told that MPs will be holding an enquiry into outsourcing Public Sector jobs in the wake of the Carillion collapse.

Jeremy Corbyn echoes once again what most of us are thinking and hoping for. He has said that this ” Is a watershed moment for PFI contracts”.

One can hope.

What they will ‘find’ and act upon remains to be seen and many will feel that this is just the current government making another empty promise in a long and sorry saga of public services outsourced for private profit.

I am sorry I couldn’t call you back yesterday when you needed me and I am sorry I am not able to do more to help you.

I have worked in mental health for 10+ years and whilst I love my job it never gets any easier.

I have books on my shelves and articles in files on the latest evidence based practice. I have ideas in my head for sessions we can do together and the passion to sit with you whilst we figure all this out.

However, first you need to get to me and I need the time to deliver it all.

Referrals into mental health services are on the increase, this could be due to the ever growing pressures in society on everyone; from children to the elderly or the successful drive to normalize and promote mental health like never before, ripping down barriers and shouting from the roof tops that it is ok to not be ok.

So you gather the courage to call someone (which I know is so hard to do) and get help…

Unfortunately our pie is not getting any bigger, there is no more ‘money tree’ and we cannot afford anymore resources. So whilst we are able to see you, accessing treatment is entirely different.
In the service I work in there are 30 practitioners for nearly 400 people on the waiting lists. No matter how you do the maths it is never going to fit. We try and change the service, we make it more lean, we shave things down to try and get everyone in but it is impossible. We have ideas of more we can offer but no money to fund it and no bodies to deliver it.

I want to see you straight away but there are hundreds of other people ahead of you.

I want to take it at your pace and see you for as long as it takes but I only have 8 sessions otherwise other people will have to wait longer.

I want to be there to answer the phone straight away when you need me but I already have 6 other back to back appointments, before racing to collect my children from school.

I constantly squeeze every drop of time to fit in more people but inevitably it all runs out as I cannot make 24 hours into 25.

I want to offer you the therapy you need but no service, that I know of, is commissioned to offer it, which just really sucks.

I don’t know what the solution is but I want you to know that I am sorry because I feel just as frustrated as you.

I know my boss, their boss and the bosses’ boss also constantly look for answers, but with an ever growing population and more needs becoming prevalent it is very hard.

It’s not just us either; before, we could have referred you to other 3rd sector organisations which could have helped but they are just as squeezed as us and having to make equally hard and heartbreaking decisions.

So please don’t be offended when we talk about self help materials or equipping you with the tools to help yourself, it is the only weapon I have at the moment to help you long after I have to reluctantly discharge and move on to the next case.

Please don’t think I don’t care if my next visit isn’t for another 6 weeks, I hate this just as much as you do. I need you to understand that my intervention isn’t limited through choice , so all we can do in the short time we have is to teach you the skills I have to help yourself.

I need you to not miss any appointments as they count in my limited time and I need you to work with me as much as you can so that I can give you all I have.

One day maybe we will have enough resources, but for now all I have is I am sorry!!

We all deserve more than this, no one more than you.
Please hang on in there, believe in yourself, take any support you can find and know that your wait isn’t because we don’t care, our pie just simply isn’t big enough.

I have been living in a world of negativity, probably since David Bowie died, not that I’m blaming him; I think he got his timing spot on.

Then Alan Rickman, then Caroline Ahern and Victoria Wood finished me off. But this isn’t about them.

There was the Brexit referendum here and Trump winning the election in the USA. I found the injustices of our selfish, immoral and heartless government so overwhelming that I felt duty-bound to start attending meetings with the opposition party to fight the good fight. I also felt compelled to put pen to paper and write about these issues for others to read about but the research necessary simply lead me down even darker paths of corruption and lies; the fire of anger and passion raged even stronger than before.

Writing wasn’t a comfort but a catalyst.

But this isn’t about that either. This isn’t even about Kim Jong Un pissing in corners or concerts where children are being bombed, or police being killed trying to save lives, or Muslims being stabbed on their way to worship. No, this all contributed to the anger churning inside, this was my view of the world and I was getting simultaneously more angry yet more numbed to these events and even bored of trying to argue against them. I was writing blogs about how rubbish things were and at the same time was totally fed up with reading the moans of other people, even when I agreed with them… But yesterday at 4.45pm, I set up a JustGiving page…

My good friend has Cancer. At age 36. Two years after beginning a new life, newlywed with her wonderful husband. This isn’t fair. I got angry some more.

She had radiotherapy, chemotherapy, she’s down for surgery but the tumours are too big, the chemo isn’t working, more aggressive chemo then… still not working.

There is a drug, Avastin which could potentially help shrink the tumours to a size that is operable. I will leave the disgusting practices of Hoffman la Roche, the company who supply this drug for another blog. A company who I have heard described as ‘not even amoral but immoral’ by a Doctor.

The upshot is, Avastin is not deemed cost effective enough to be available on the NHS. My friend will have to pay.

The drug costs £1500 a session, she needs six sessions for this round and it’s very likely she’ll need at least six further sessions.

Yesterday at 4.45pm we set up a justgiving page and we were blown away. In five hours we had raised £6,000 and by morning her first course of treatment at £9,000 was covered and now we’re collecting for the next.

What struck me, and turned my attentions away from how shitty this situation was for my friend and towards how bloody brilliant people are, were the comments left by people making donations and seeing the range of people who donated.

My friend is a teacher and we saw pupils, ex-pupils, parents of pupils donating. One a twelve year old who gave £10 towards his teacher’s treatment. Friends donated, relatives of friends, friends of relatives. One donation came from a young woman / teen whose brother’s girlfriend’s mum is a friend of my friend. She didn’t need to do that! She is a wonderful person!

People who’ve only ever come into contact with my friend via social media sent funds and one complete stranger donated £250! These people are bloody brilliant.

It wasn’t just the money either.

A man who I’ve met once contacted me to offer to DJ for free for a fundraising event, an ex-pupil now singer emailed me to offer to perform for a fundraising event, a friend started contacting local venues to put together a concert, the head of a teaching union in our area asked if he could see how they might be able to help. This was phenomenal. These people are bloody brilliant.

So stick it death.

Stick it Trump.

Stick it Putin and Kim Jong Un and Theresa May.

Stick it Boris and David Davis with your crass double-D jokes.

Stick it politicians with your penny pinching, grubby little mits all over our public services.

Stick it to your pay caps and your fake pay-cap lifts.

Stick it Amazon and Starbucks and all you other skin-flint companies who dodge contributing to our children’s education and treatment of our sick through fair taxation.

Stick it Richard-offshore-Branson.

We got this. Us little folk, we got this.

Us on the ground doing the legwork; we’re going to foodbanks and we’re putting school uniforms onto credit cards and we’re not just about managing actually, but we got this. We are good people and we count and you know what? Us people, us little people, we are bloody brilliant.

If you would like to donate to help Kate pay for cancer treatment please click here:

Kelly Grehan is the Co- Founder of The Avenger UK. Today marks the 3 month anniversary of her double masectomy. To mark how far she has come we are publishing a blog she wrote soon after the operation.

By Kelly Grehan

I’m going to digress from my usual blogging about natural living today and report about my recent stay in hospital for a bilateral mastectomy and diep reconstruction.
My story begins two and a half years ago when, following my mum’s diagnoses with what would be terminal ovarian cancer I found that she was a carrier for a defective brca 1 gene.
The brca gene is usually a tumour suppressor but when defective gives women an around 80% chance of breast cancer and 50% chance of ovarian cancer.

My family history meant I could have the test on the ‘NHS. I decided to do this: for me it was no big decision, I am a believer in knowledge so I went along to Guys Hospital for genetic counselling and testing. Two weeks later I received a personalised letter confirming I was indeed in possession of a defective brca 1 gene.

Never having really been ill, and obviously feeling fine I found it a strange experience to suddenly be thrust into a medicalised system of yearly MRI scans and blood tests.

I attended a brca awareness day at Guys and listened to the various options available to me and then went home and continued with my life.
In that time I lost my mum, started studying counselling and generally developed a ‘live life to the full’ attitude. I don’t recall ever making a decision to have a mastectomy: it was just something I kind of drifted towards. I did waiver from this at points, but, for me, I felt it was best for my family.

Every time I would hear of anyone suffering or dying of breast cancer I felt a responsibility to take the opportunity I had, not given to many, to take control of my health and save my children from the ordeal of a sick mum. The question then was when.

I went for June as it gave me the summer to recover, in between courses.
I’m not a very vain person, but I will be honest and say that , ironically, the part of me I’ve probably been most proud of has been my boobs. I’ve always liked the shape and size (34D).
Before the operation I had photos taken by my friend Kirsty (http://www.photographybykirsty.co.uk/) which I’ll put up when they are ready. I rationalised that they had had their use: I’d breast fed and my youthful wonder-bra days seemed over.
All the friends and family I spoke to, including my husband were eager I put my health first.

What makes the decision easier is that the team at Guys and St Thomas’ really do treat you as an individual and so you can make your decision in your own way and reassure you that if you are unhappy with the finished result they will make changes until you are.

What does take more getting used to is standing around wearing just knickers while the doctors examine and advise on options in accordance with your physique. Still, I suppose it is good practice for what comes later!
I decided on a diep flap reconstruction. This basically means the surgeon takes skin, fat, and muscle (a flap) from another part of your body , in my case the stomach, and made it into a breast shape.

The flap needs a good blood supply or the tissue will die so the surgeon cut the blood vessels and reconnected them to blood vessels in the chest wall. My original nipples were kept.
I went into St Thomas hospital at 7am on 27th June 2017. I had an 8 hour operation led by two teams: first the breast team and then the plastics team.
I woke up in the recovery room where a doctor was checking my new breasts. I was instantly relieved to see that they looked normal – lovely and round! On the side of each are two scars with thinner skin, and every hour here-on-in someone would check the vein was working with a doppler.

I also won’t deny that I had a quick smile upon seeing my newly flat stomach.

The night was then spent with my lovely nurse checking my blood pressure and the breasts every hour. I was in no pain at all, although I could have done without the (compulsory) heated blanket.

I also must comment on my lovely hospital room, over looking Big Ben and The London Eye.
The next day was another story. I was given the task of getting from the bed to the chair, along with my four drains. A task which proved beyond me, on the first attempt as I became nauseous and proceeded to be sick. Every movement also caused horrific pain along my stomach wound, which is more or less the length of my stomach. The good news is that by the next day I was able to walk to the bathroom for a shower, albeit bent over.
I’m home now, it’s 7 days post-op. I need to swear a sports bra all day and night and in the shower. I cannot bath or wear deodorant and I’ve yet to walk further than the street alone. The last drain came out yesterday. I’m just about walking upright.

Apart from this I feel great. I honestly say I’ve had not one moment of regret yet. The gauze tape remains on my scars. The stomach scar does not bother me. It will be covered by clothing and ironically I think, moving forward, I’ll be confident in a bikini as my stomach is so much flatter than before and the scar will be hidden! I love the shape of my boobs, and do not feel as though they are not mine.

In a few months later I can have day surgery to tidy up the scars and can have further tissue put in if I want a bigger size. I’m undecided because I reckon they are a C at present so will see how I feel when the swelling goes down.
There is not a single time in the process – from the test to when I left hospital that I have experienced anything less than great treatment from the NHS.

I am aware in the US I would have been at the mercy of my insurance company and that my decision may have been influenced by my policy options.

The operation would cost somewhere in the region of $200,000 there. I feel so grateful to have had this choice and to now be able to live without the shadow of breast cancer over me.

In the future I will decide about having a hysterectomy to eliminate my ovarian cancer risk too, but I will worry about that in about a decade (I’m 37).
I also want to say how lovely it was to be able to donate my discarded tissue and skin to further research and to take part in medical trials. It helped my give back to something to the NHS and medical research communities.
So that’s it. I’ll put up some pictures (clothed!!) in a few weeks. I just wanted to tell my story and thank everyone involved. Now to continue to live!
Kelly also has her own personal blog which you can read here for more of her masectomy diary:

Barely a day goes by without me hearing some mention of Britishness and British values. There seems to be an acceptance by some that Britain is the envy of the world. I have never been sure what this is based on.

What sums up modern British life? What are the central focuses of our culture? I’d argue money, work and the pursuit of status are what our daily lives and almost all of our time are filled with.

I visited Holland this summer and could not help but notice how much more relaxed the Dutch way of life seems to be as oppposed to here, where many of us feel our days are about trying to cram in as much as possible. The expectation is to be a conscientious employee, always on time, never be unreliable, strive to climb the career ladder at the same time as being an involved parent, never missing a school play or sports match. keep a perfect house and helping with homework and all manner of other things. But although we might not like to admit it, our value base in this country is about putting money ahead of family life and happiness.

We are preached to that our status is based upon our (material) assets, people seem to long to tell you how much their car/holiday/phone/home cost, and expect you to be impressed.

There often appears to be a badge of honour in how many hours you work over what you are contracted; almost as if the company might collapse without us and many of us are forced to waste hours every week sitting in traffic jams or awaiting delayed trains as we commute to jobs far from our homes. Rising costs of living and stagnant wages leave many of us feeling stressed about making ends meet.

But does it have to be like this? I’d argue not and that the way of life we have here can be changed. Denmark and Norway won the first and second places in this year’s World Happiness Report.

What’s different about them? Well, both Denmark and Norways’ cultures prioritise experiences over material goods and strive for equality. They have relatively small wealth gaps and friendships are seen as a value. Both nations cherish sharing activities with friends and family.

In the Norwegian language there is even a word for helping each other without being paid; ‘dugnad’.

Occasions where everyone contributes their time and skills for the good of the neighbourhood is seen as vital for the good of all. Similarly, Danes might pay extortionate amounts in tax, but this has given them a sense of cohesion; everyone having a stake and everyone getting something back. Unlike here where post compulsory education without being linked to career aspirations is regarded as an extravagance, most Danes take weekly evening classes, all free at the point of receiving them. How many of our lives would be enriched if that were the case here?

One reason people in Denmark have time for enrichment is that they simply do not work the hours we do. The average working week in the UK is now 43.6 hours compared with a European average of 40.3 hours. Danish workers work an average of 26 hours and Norwegians 33.

One of the sad things about our culture, in my view, is the failure of us as a society to put family life first and the impact it has our children.

The World Health Organisation (WHO) last year conducted a study of children across 44 countries. The results made for grim reading, It found Britain’s 15-year-olds are suffering due to ‘pressure at school, feeling fat and drinking too much.’ They were less likely to report ‘good life satisfaction’ than their foreign counterparts.

73% of girls and 52% of boys in England felt pressured by school work, significantly higher than the average of 51% of girls and 39% of boys across all countries.

While 50% of girls and 25% of boys in England think they are too fat, higher than the average 43% for girls and 22% for boys across all countries.

The Association of Teachers and Lecturers have consistently argued that the mental health of children as young as six is being blighted by exam stress.We have increasing numbers of young people self harming and suffering from anxiety and stress. Although there are many reasons for this, I would argue the culture in this country which judges everyone, regardless of age on their possessions and status is at least partly to blame. Children are judged on their test scores, their school’s place in the league tables, their clothes, their family status, where they live and all manner of other things that should not be important. So, it is no wonder, like British adults, so many children cannot escape the feeling they are not good enough.

What about if Britain had a culture where employers encouraged and helped promote family life and other activities? What about if when meeting people for the first time we asked people about their hobbies and interests instead of where they live and what we do for a living?

What about if spending time doing community based activities was the norm? What about if we judged each other by our actions and nothing else – not appearance or status or possessions?

I think we would all be much happier. Isn’t that what we should strive for as a culture rather than the best GDP or the most millionaires?

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I’ve been detained under the MHA (Mental Health Act) twice within the last two years. I will describe my own experience of my last admission.

I have 3 mental health diagnosis, an eating disorder in which I have a lot of fear foods plus an allergy to wheat and gluten, I have PTSD for which I can be triggered and recurrent depressive disorder. The latter means that my mental health fluctuates in waves going from a flat enjoying nothing mode in which I manage to function and maintain normal acts of daily living such as getting up and out of bed, washing and dressing and eating the foods I will eat.

I have a fear of phones but keep in touch with my 2 friends and 2 of my children by text and I will talk to my GP on the phone.

In the low periods despite attempts to change I can’t gather the energy to get out of bed apart from loo trips. I don’t wash or dress, my eating varies and I withdraw from the world and push people away. I spend most of my awake hours crying, and honing down my suicide plan to the final piece as I lose all hope that I’ll ever get better and the emotional pain is so intense I’m unable to cope with it.

On this occasion my care coordinator had visited me and said that she would be requesting a MHA assessment and left the house. I paced around crying having found my first hospital admission awful and not wanting to go again. I wanted to take my overdose to end my life but thought the MHA crew would appear and save me and I didn’t want to be saved.

Eventually at 8pm, eight hours after my care coordinator had left, I managed to phone the out of hours team to find out what was going on and I was informed that the MHA assessment was booked for 10am the following morning. With this information I believed I had the time needed to end my life and took most of the tablets in my bedside drawer. A mixed overdose of about 8 drugs but including tricyclic drugs I’d previously stored at a time I was prescribed them.

I lay on the bed fully clothed in clothes I’d been in 24/7 for several days. I didn’t expect to wake up. I remember nothing from that moment to waking on a ward in the medical hospital.

It transpired that the 2 doctors and AMHP had arrived and not being able to obtain entry asked a neighbour (who has been nasty to me since I moved here so I avoid him) to climb in my bedroom windows and let them in. They couldn’t rouse me so I was taken to hospital where I woke later. It was a couple of months before discovering my neighbour had been in my bedroom and was aware as he gleefully told my daughter about it.

What happened after…

So the MHA assessment took place in the medical hospital at 2am the morning after I was found and I was detained under section 2. I remained in this hospital for a further 36 hours as there were no beds. My bed was an observation bay right by the nurses station, the lights were on full there all night but I wasn’t allowed to draw the curtains for shade so I could sleep so I didn’t manage to sleep at all in that light.

I was then transferred to the psychiatric hospital acute ward and shown my room. There I stayed in bed, still fully clothed completely covered in a sheet apart from loo trips for over a week. I cried the whole time and if I slept during the night I don’t remember it. I was aware of every hourly check from staff looking through the bedroom door all day and all night.

Once or twice people put a plate of food on the bedside table and left it there but the food was all my fear foods as was everything in the canteen so I ate practically nothing during my whole stay.

After a week and a bit I asked whether it would be possible to be taken home to collect some clothes as I’d been wearing the outfit I’d been detained in day and night since. I asked every day but was told there were no available staff to do so. On day 12 I went to the ward manager’s office and said how long I’d been in my clothes and how I needed things from home. Within an hour a member of staff took me and I collected night clothes, another outfit and toiletries. After this time I started to go into the lounge occasionally but was frightened of 3 ladies on the ward, 2 of which had major anger problems and 1 was extremely unwell and very unpredictable.

One of the ladies with anger issues later told me she didn’t want to be discharged as her partner was violent and she had nowhere else to live so every time discharge was talked about, she’d deliberately kick off meaning her discharge was delayed. She assured me she’d be there months.

The canteen was terrifying for me. I’m frightened of men and the dining room was shared with the male ward. Many of the men behaved badly making obscene suggestions as well as throwing chairs etc.

There was no food I could eat anyway so sometimes I’d grab a banana from the fruit bowl and immediately go back to the ladies ward. This satisfied the staff I was eating and the staff in the dining room could tick me off their list. Sometimes I’d take a bite of the banana but usually didn’t and would bury it under paper towels in the bin back on the ward.
One teenager cut herself so badly during the night she was whisked off with the 2 qualified members of staff to A&E in the adjacent hospital. They never returned so no one could have medication and the following day the consultant was at the main hospital too. The teenager never returned, I’ve no idea if she survived. The things from her room were bagged up and taken away from the ward.

Apart from a mindfulness session every weekday morning nothing else was on offer. I didn’t go to the sessions due to fear of the men but I have done mindfulness to death in the community and despite hours and hours of practice find it never helps me at all. But for some reason mental health professionals think it cures all psychiatric ills and it’s the only therapy I’ve been offered in the community in my 7 years with them.

During my weeks on the ward I only ever saw one qualified nurse in the lounge, sitting and talking to patients. She’d bring her laptop in to write up her notes on Rio but would talk to patients alongside this. She was really nice, I’ve heard she’s left now which is sad. The only times I saw qualified staff was at the hatch to the medicine room as they dished out tablets. Apart from those times they stayed in the ward office and we never saw them. I had a named nurse who I never met.

There were 2 or 3 health care assistants who were visible and about the ward, they were all male but we’re quiet and calm so I was able to cope with them with no problems at all and one in particular was kind.

I was discharged feeling no better. At home my dining table was covered in piles of thing labelled with who they were to go to, and 3 envelopes containing letter to my children.

On my discharge notes it said I’d spent the first 10 days asleep in bed!! So all those days I’d cried day and night barely catching snatches of sleep, I was apparently asleep the whole time.

The thing is no one ever talks to you or asks you anything so they guess and assume and that’s the basis of their paperwork. My diagnosis was even better, it was factitious disorder which totally shocked me once I’d looked it up. Fortunately both the community CMHT (Community Mental Health Team) and my GP said that was total rubbish. CMHT told me that hospital consultant is renowned for his bizarre and incorrect diagnosis. Useful. Not. The only thing that kept me sane there was my weekly phone call from my GP. She’d listen to what was happening, how I was feeling and what was being said and she’d spend 30-45 minutes helping me make sense of it all and help me see things from a different perspective. Ironic really that the only helpful member of staff during my time there was my GP back at my surgery! To me that ward is nothing but a holding cell.

Therapy would be good as would be some interaction with qualified staff or your named nurses. And it seems when someone is detained and needs a bed, the patient on the ward they deem to be the least risk is immediately discharged, better or not, to make room for the new arrival. Because I was quiet and not disruptive, that was me.

I hope one day that I’ll be offered some therapy from the community team. But I’ve asked for CBT or a psychological assessment several times and the answer has always been no. I want to leave CMHT as I’ve found little helpful and they’re not proactive but my GP encourages me to stay with them because with my recurrent depressive disorder I get low, and when I get low I get very very low and lose all hope. But I have no intention of going back into that hospital again, no help is available there and the diagnosis you come out with is fictitious in itself.

This was written for you by a Masked Avenger. A Masked Avenger could be any one of our regular writers, a group of writers or a guest writer. Written to bring you uninhibited truths that need to be told.